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Contact Information

PAUL D REVARD
916 WASHINGTON AVE
SUITE 215
BAY CITY, MI48708
 Phone: 989-893-2140
 Fax: 989-893-0423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for PAUL D REVARD · (Male)

NPI # 1023158797
Status Active
Credentials
Entity Individual
Enumeration date 02/08/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 12915
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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